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“我比其他人更容易出现关节弹响”:年轻人关节过度活动和颞下颌关节紊乱的日常生活体验

'I was cracking more than everyone else': young adults' daily life experiences of hypermobility and jaw disorders.

作者信息

Ilgunas Aurelia, Wänman Anders, Strömbäck Maria

机构信息

Department of Clinical Oral Physiology, Västerbotten County Council, Umeå, Sweden.

Department of Clinical Oral Physiology, Umeå University, Umeå, Sweden.

出版信息

Eur J Oral Sci. 2020 Feb;128(1):74-80. doi: 10.1111/eos.12675. Epub 2020 Jan 11.

Abstract

Most studies on general joint hypermobility (GJH) and temporomandibular disorders (TMD) are quantitative and have concluded that joint hypermobility is a risk factor for development of TMD. The present qualitative study aimed to explore young adults' daily life experiences of GJH, specifically these relating to jaw function, and their experiences of medical and dental care providers. Semi-structured interviews were conducted with nine young adults (18-22 yr of age) and data were analysed using qualitative content analysis. The overarching thematic category that emerged was 'Hypermobility in daily life', which was broken into six subthemes and three themes: 'emotional perception', 'dealing with symptoms', and 'outside influences'. Participants' narratives centred on experiences of complex symptoms, awkward jaw function and joint noises, feeling different, and a lack of support from general medical and dental care providers. The findings show that young adults with joint hypermobility need early support from medical and dental care providers for managing their symptoms and conditions related to GJH. Future studies are warranted to develop guidelines for professionals in medical and dental care to detect and prevent forthcoming problems and to offer relevant support to hypermobile youths.

摘要

大多数关于全身关节活动过度(GJH)和颞下颌关节紊乱病(TMD)的研究都是定量研究,并且得出结论认为关节活动过度是TMD发病的一个危险因素。本定性研究旨在探索年轻人在日常生活中GJH的经历,特别是与颌功能相关的经历,以及他们与医疗和牙科护理人员打交道的经历。对9名年轻人(18至22岁)进行了半结构式访谈,并使用定性内容分析法对数据进行了分析。出现的总体主题类别是“日常生活中的活动过度”,它被细分为六个子主题和三个主题:“情感认知”、“应对症状”和“外部影响”。参与者的叙述集中在复杂症状、颌功能笨拙和关节弹响的经历、感觉与众不同,以及缺乏来自普通医疗和牙科护理人员的支持。研究结果表明,关节活动过度的年轻人需要医疗和牙科护理人员的早期支持,以管理与GJH相关的症状和病情。有必要开展进一步研究,为医疗和牙科护理专业人员制定指导方针,以发现和预防即将出现的问题,并为关节活动过度的年轻人提供相关支持。

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